| NPI | 1144269127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MT 87638) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL me87692) |
| 207R00000X Internal Medicine (Licence: FL me87692) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-05-13 |